Biomedical subjects

S Isa

Publications and source records attributed to S Isa.

14 recordsLinked to original sources

PubMed1993

Balance of synovial fluid IL-1 beta and IL-1 receptor antagonist and recovery from Lyme arthritis.

Borrelia burgdorferi, the causative agent of Lyme disease, is a potent inducer of interleukin-1 beta (IL-1 beta), a cytokine implicated in the pathogenesis of inflammatory arthritis. The balance between IL-1 and the IL-1 receptor antagonist (IL-1ra), a naturally occurring inhibitor of IL-1, might influence disease expression. To explore this possibility, we have done a retrospective study that compared the clinical course of Lyme arthritis in 83 patients with concentrations of IL-1 beta and IL-1ra in the patients' synovial fluid. Patients with high concentrations of IL-1ra and low concentrations of IL-1 beta had rapid resolution of attacks of arthritis, whereas patients with the reverse pattern of cytokine concentrations had long intervals to recovery. Thus, the balance between synovial fluid IL-1 beta and IL-1ra concentrations relates to the time to recovery from an episode of Lyme arthritis.

Adolescent↗

PubMed1992

Live Borrelia burgdorferi preferentially activate interleukin-1 beta gene expression and protein synthesis over the interleukin-1 receptor antagonist.

Lyme arthritis is one of the few forms of chronic arthritis in which the cause is known with certainty. Because cytokines are thought to contribute to the pathogenesis of chronic arthritis, we investigated the effect of the Lyme disease spirochete, Borrelia burgdorferi, on the gene expression and synthesis of IL-1 beta and the IL-1 receptor antagonist (IL-1ra) in human peripheral blood mononuclear cells. Live B. burgdorferi induced fivefold more IL-1 beta than IL-1 alpha and sevenfold more IL-1 beta than IL-1ra; LPS or sonicated B. burgdorferi induced similar amounts of all three cytokines. This preferential induction of IL-1 beta was most dramatic in response to a low passage, virulent preparation of B. burgdorferi vs. three high passage avirulent strains. No difference in induction of IL-1ra was seen between these strains. The marked induction of IL-1 beta was partially diminished by heat-treatment and abrogated by sonication; IL-1ra was not affected. This suggested that a membrane component(s) accounted for the preferential induction of IL-1 beta. However, recombinant outer surface protein beta induced little IL-1 beta. By 4 h after stimulation, B. burgdorferi induced sixfold more IL-1 beta protein than LPS. In contrast to LPS-induced IL-1 beta mRNA which reached maximal accumulation after 3 h, B. burgdorferi-induced IL-1 beta mRNA showed biphasic elevations at 3 and 18 h. B. burgdorferi-induced IL-1ra mRNA peaked at 12 h, whereas LPS-induced IL-1ra mRNA peaked at 9 h. IL-1 beta synthesis increased in response to increasing numbers of spirochetes, whereas IL-1ra synthesis did not. The preferential induction by B. burgdorferi of IL-1 beta over IL-1ra is an example of excess agonist over antagonist synthesis induced by a microbial pathogen, and may contribute to the destructive lesion of Lyme arthritis.

Adult↗

PubMed1990

Neonatal interleukin-1 beta, interleukin-6, and tumor necrosis factor: cord blood levels and cellular production.

In a prospective study, levels of interleukin-1 beta (IL-1 beta), interleukin-6) (IL-6), and tumor necrosis factor (TNF) were measured in a blind fashion in cord blood plasma from 92 neonates by specific immunoassays, and were correlated with the clinical courses of the infants, including type of delivery and perinatal complications. Plasma IL-1 beta concentration was undetectable in infants born by normal vaginal delivery or elective cesarean section but was significantly increased in infants born after induced vaginal deliveries (142 +/- 68 pg/ml) or urgent cesarean section (290 +/- 21 pg/ml; both p less than 0.05 compared with normal deliveries). The IL-1 beta levels were elevated in infants with severe perinatal complications (282 +/- 116 pg/ml; p less than 0.001), whereas TNF and IL-6 levels were not related to these complications. Infants with isolated perinatal infectious complications had elevated levels of plasma IL-6 compared with those of sick neonates without infection (p less than 0.001). In contrast, TNF plasma levels and IL-1 beta production by cord blood leukocytes were decreased in infants with infectious complications alone (both p less than 0.05). These studies suggest that the levels of IL-1 beta, IL-6, and TNF in the cord plasma relate differentially to clinical complications in the perinatal period.

Delivery, Obstetric↗

PubMed1990

[Evolution and prognosis in patients with primary liver cancer. I. The effect of individual factors on the survival of patients with primary liver cancer].

The data of the frequency, evolution and prognosis of 63 patients with primary liver carcinoma which had developed on the basis of liver cirrhosis are presented. An attempt is made to assess the importance of the etiologic factors, type of liver cirrhosis, macroscopic type of the tumor, histologic pattern of the cancer, sex and age for the evolution and prognosis of the disease. The patients with primary liver carcinoma without cirrhosis have a better prognosis. As high risk factors may be accepted: male sex, age over 50 years, toxic factors, hepatitis B virus infection and chronic alcoholism. The macroscopic type of the tumor also affects the prognosis. The histologic pattern of the cancer does not influence the survival of the patients with primary liver carcinoma.

Adolescent↗

PubMed1990

[Evolution and prognosis in patients with liver cirrhosis. II. A multifactorial analysis using a stepped regression mathematical model].

The multivariant approach offers best possibilities for assessment of liver function. The role of the different clinical, clinico-laboratory and combined clinical and clinicochemical indices in the prognosis of liver cirrhosis was studied in patient in ambulatory conditions. A step regressive mathematical model with the help of the program 2R of the statistical package BMDP was used. The regression of the clinical indices by 5 steps of the mathematical model showed that of greatest importance for the survival are the following indices: ascites, months since its onset, collaterals, anorexia and vascular nevi. By 4 steps of the regressive model of the clinico-chemical indices the following indices were chosen: prothrombin time, albumin, total bilirubin, cholesterol and alkaline phosphatase. The regression of the combined clinical and clinico-chemical indices pointed out as basic factors 3 clinical indices (ascites, months since its onset, collaterals) and 3 clinico-chemical indices related to the disturbed liver function (prothrombin time, total bilirubin, albumin).

Adult↗

PubMed1990

[The evolution and prognosis of liver cirrhosis patients. III. An evaluation of the survival rate and mortality using graphic mathematical models].

The survival and mortality were assessed in 474 patients with liver cirrhosis followed up for a long time in outpatient conditions. The programme 2R of the statistical package BMDP was used and the following mathematical methods were applied: function of survival (for men and women) assessed by the method of Kaplan-Meyer; function of mortality assessed by the hazard-model of Link; velocity of growth of the function of mortality and method of the cumulative function of mortality for the remainders. The achievement of data, confirming each other, by the four mathematical graphic models applied allows the assertion that the selected method for assessment of the prognosis of liver cirrhosis is correct. It may be concluded with great certainty that there is no difference in the survival between men and women suffering from liver cirrhosis.

Bulgaria↗

PubMed1990

[An evolutionary and prognostic study of patients with liver cirrhosis. I. A particular correlation analysis of the data from clinical observation and clinico-laboratory and instrumental studies in relation to the survival of patients with liver cirrhosis].

The influence of some clinical indices, clinico-laboratory and instrumental examinations on the survival of patient with liver cirrhosis was studied by implication of the programs 1D and 2D of the statistical package BMDP. The separate statistical comparisons show that of their own importance for the survival of the cirrhotic patients are the initial clinical manifestations (the latent and subclinical cirrhosis have a better prognosis), the size of the liver and the degree of portal hypertension assessed by laparoscopy according to the authors' classification in 4 grades (the patients with portal hypertension even in the absence of ascites show a significantly lower survival). The presence of concomitant diseases, the treatment applied and the cause of death do not play a significant role in the survival of the patients with liver cirrhosis.

Bulgaria↗

PubMed1990

[Evolutionary and prognostic studies of patients with primary liver cancer. II. Multifactorial analysis using a stepped-regression mathematical model and graphics].

The subject of this study is the evolution and prognosis of 63 patients with primary liver carcinoma assessed bu multifactor regression mathematical model realized with the aid of the program 2R of the statistical package VMDR and by graphic expression of the functions of survival, mortality, speed of mortality function growth and graphic assessment of survival according to Okuda's method. The step regression analysis in 2 steps of the regression mathematical model of the clinical indices pointed out the factors age, edema and liver encephalopathy. By 7 steps in the regression mathematical model of the combined clinical and clinico-chemical indices as basic prognostic factors were selected: prothrombin time, liver encephalopathy, direct bilirubin, age, GGTP and sex.

Adult↗

PubMed1978